36-48 MONTHS
stands on 1 foot
stacks 6 blocks
walks up stairs changing feet
pours milk from carton using both hands
enjoys pretend play with others
uses clear speech*
* At age 3-4, a child should be 75% understood; at age 4 speech should be 90% clear.

48-60 MONTHS
readily understood by most people
throws ball, catches bounced ball
points to 6 basic colors
uses 4-8 word sentences
knows own first, last name; sex; age
begins to play with other children

Talk to First Steps and your doctor if your child does not do ALL the activities within his/her age group. If your child is over the age of 3, please talk to your doctor and your school system. Please see the Transition section on this website to find your local school system’s contact information.

First Steps services are in every city/town in Indiana. However, 4 different regional offices (known as “Clusters”) serve the different counties. If you do not live near one of above, then please call our office and we will get you the contact information for your local office.

Our Mission

The goal of First Steps is to help Hoosier families make sure their infants and toddlers receive services now to help them in the future. Services through First Steps are designed to meet the developmental needs of the child; Except in limited circumstances, First Steps does not provide services to meet medical needs.